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Table 1 Steps in developing base case composite indicator with alternative methods

From: Quality of maternal obstetric and neonatal care in low-income countries: development of a composite index

STEPS

1. Theoretical Framework: Quality Matrix

2. Metric Selection: Literature Review/Expert Opinion

3. Missing data imputation: imputation by mode for binary variables or mean for continuous variables

4. Initial Data Analysis: Review outliers/directionality

Indicators within cells

Base Case

Alternative

5a. Normalization:

Binary categorization of non-binary cell indicators

A. Rescaling of non-binary cell indicators (Min-max)

5b. Weighting:

Equal weighting

5c. Aggregation:

Additive linear aggregation of indicator scores

B. Geometric aggregation of indicator scores

Cells within matrix

Base Case

Alternative

6a. Normalization:

Rescaling of cell scores (Min-max)

C. Standardization of cell scores (Z-scores)

6b. Weighting:

Equal weighting

6c. Aggregation:

Additive linear aggregation of cell scores

D. Geometric aggregation

of cell scores

7. Uncertainty/Sensitivity Analysis: comparison base case against alternative methods

8. Deconstruction: explore individual indicators contribution to composite score